Frontier School of Midwifery & Family Nursing, Inc.

Falls are a leading cause of morbidity and mortality among older adults. The Age-Friendly Health Systems 4Ms Framework identifies objective mobility screening and follow up as essential health care for older adults, yet objective mobility screening is challenging to complete and often missed in primary care appointments.

In the current project, objective mobility screening was changed from Timed Up and Go to visual gait speed in a geriatrics primary care clinic in a Plan, Do, Study, Act rapid process improvement project with four 2-week cycles. Data were collected through electronic health record audits and surveys.

Objective mobility screening using the visual gait speed test increased from 32% to 61% during the improvement period. Follow-up mobility actions also improved during this time.

Adoption of the visual gait speed test for mobility screening can successfully occur and improve in a geriatric primary care clinic setting during an 8-week improvement period.

Nurse educators have a professional and ethical responsibility to revise curricula to be inclusive and competency-based.

Inclusive education benefits all students, including neurodivergent and disabled learners, and reduces reliance on individually awarded accommodations. Many nurse educators lack skills for inclusive instruction.

This article presents a practical framework that integrates Transparency in Learning and Teaching, Universal Design for Learning, and Competency-Based Education. Grounded in the American Nurses Association Code of Ethics, this approach anticipates diverse learner needs, promotes access, and strengthens student success and workforce readiness. Strategies for revising assessments and assignments are included, with emphasis on student voice in the design process. Collaboration with instructional designers and disability resource professionals supports the creation of flexible, transparent, and competency-aligned learning environments.

By embedding inclusive practices into nursing education, faculty can foster equity, dismantle systemic ableism, and build a workforce that respects the full spectrum of human ability.

Inadvertent perioperative hypothermia, defined as a core temperature below 36 °C, can lead to complications but is preventable when nursing interventions follow clinical practice recommendations. At an urban outpatient surgery center in Kirkland, Washington, a quality improvement initiative was implemented to improve thermoregulation practices to 80% over 8 weeks.

A rapid cycle quality improvement project, guided by the Institute of Medicine's safety aim, was carried out using the Plan-Do-Study-Act model.

Quantitative data were collected via a chart review with the PreOp Audit Tool and Postanesthesia Care Unit (PACU) Audit Tool. Interpretation of the quantitative data, in conjunction with the field notes, drove the next test of change to improve safe thermoregulation, which occurred biweekly. Team engagement scores were collected via a survey pre- and post-intervention, and means were calculated.

Safe thermoregulation increased from 62% to 92%, exceeding the 80% target. The PreOp and PACU Warming Bundle proved to be the most effective intervention.

Normothermia care bundles are effective in maintaining safe thermoregulation throughout the perioperative process and improve staff knowledge of clinical practice recommendations. In addition, normothermia care bundles decrease staff-perceived workload in managing normothermia.